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Individual

DR. NICOLE C WINTERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW, PSYD

Contact information

Practice address
5019 GROVE ST STE 102, MARYSVILLE, WA 98270-4491
(425) 387-2113
Mailing address
5019 GROVE ST STE 102, MARYSVILLE, WA 98270-4491
(425) 387-2113

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY60195906
WA
1041C0700X
Clinical Social Worker
LW60059975
WA

Other

Enumeration date
07/02/2009
Last updated
04/11/2012
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